Oregon Injury Lawyer Blog

March 16, 2014

Price Gouging at Trauma Centers Moves into the Spotlight

We have all heard stories of medical price-gouging, but an investigation published earlier this week by the Tampa Bay Times shows that in Florida hospitals have taken the practice to a new level.

According to a lengthy investigation by the newspaper, a change in Florida law several years ago allowed hospitals to charge special fees for the use of trauma centers. The centers are specialized facilities within emergency rooms and hospitals have long argued that establishing and maintaining them incurs unique costs which the institutions ought to be able to pass along to patients and insurance companies. For such fees “a fair cost, according to the federal government’s Medicare program, is just under $1000.” According to the newspaper, however, because the fees are not regulated “the average fee today tops $10,000; the most expensive hospital regularly charges $33,000.”

To be clear: these fees are in no way related to actual services rendered. They are, as the newspaper puts it, a “cover charge.” The paper recounts numerous instances in which patients “were charged more in trauma fees than for their actual medical care.” Since the fees are both unregulated and unrelated to the actual medical services a patient receives, the hospitals have an obvious incentive both to raise the fees as much as they can and to admit patients to the trauma center regardless of whether or not they actually need to be there. In one particularly shocking case, “an uninsured woman… was charged $33,000 even though she only needed someone to treat superficial cuts.”

March 4, 2014

GM Recalls Raise Deeper Issues of Corporate Responsibility and Regulatory Oversight

by Matthew D. Kaplan

A disturbing article published this week in the New York Times outlines a series of failures by both corporate America and the federal government. Its focus is General Motors’ recent recall notices involving well over a million vehicles manufactured since the 2003 model year (click here for GM’s latest news release with full details of models and years effected). The vehicles have a defect in the air bag system that in some instances means the air bags will not deploy during a crash because the ignition switch has been cut off.

According to the Times, GM now acknowledges that at least 13 deaths can be tied to the defect. What is disturbing is the paper’s report that the automaker’s engineers were aware of the issue in 2004 – more than a year before the first of those 13 documented deaths. Equally bad is the record of federal regulators from the National Highway Traffic Safety Administration. According to the paper, “after two of the (Chevy) Cobalt crashes, the regulators took a close look at the cause, each time raising the possibility of a defect. They also met with GM about the issue. But despite the red flags, they never opened a broader investigation into whether the car was defective.”

As the paper goes on to report, a number of lawsuits related to the documented deaths have already made their way through the court system. Class action law was created precisely to enable ordinary Americans to defend their rights in cases of this sort of willful and negligent misconduct, especially when it results in wrongful deaths. The recall notices are still new and are still sinking in for many people (the initial recall was issued on February 19 and was later extended to hundreds of thousands of other vehicles) so it is also important to note that the full impact of the situation is not yet clear. It is clear that the court system will probably hear much more about these vehicles in the months and years to come.

February 28, 2014

New Research Links Soccer to Traumatic Brain Injuries

by Matthew D. Kaplan

When attention focuses on the question of sports and traumatic brain injuries we usually think of football, hockey or boxing. A new study from Boston University, however, highlights the potential TBI dangers of a sport we do not often think of as violent: soccer.

As outlined by the New York Times earlier this week, the study focuses on “encephalopathy, the degenerative brain disease linked to repeated blows to the head” which, it reports, “has been found posthumously in a 29-year-old former soccer player, the strongest indication yet that the condition is not limited to athletes who played sports known for violent collisions.” Equally intriguingly, the newspaper notes that the soccer player died of ALS, commonly known as Lou Gehrig’s Disease, and offers evidence that the repeated head trauma involved in soccer may have played a role in his development of the disease at the relatively young age of 27.

The man mentioned in the article was a top-level college and semi-pro soccer player. The Times quotes his parents remembering his love of the game, and the pride he took at being good at heading the ball. It quotes a doctor who performed a brain examination after the player’s death saying that he had “extensive frontal lobe damage” of a type more commonly associated with football than soccer. The article cautions that there is no way to establish an irrefutable link between the game and these brain injuries, but the BU study concludes that this, and other data, are cause for both concern and for further study.

February 25, 2014

Oregon Drunk Driving Measure Debated in State Senate

by Matthew D. Kaplan

In Salem today the Senate Judiciary Committee sent to the full Senate an important bill that could change the way Oregon drunk driving cases are decided. According to The Oregonian the legislation “would no longer require everyone on diversion for drunken or drugged driving to install… interlock devices, which force drivers to blow into a breathalyzer that shows they haven’t been drinking before their car will start.” According to the newspaper “about 10,000 people a year are placed on diversion for the first-time offenses of driving while intoxicated, and about 70 percent never commit another offense.”

At issue are that recidivism rate and a debate about how closely practice here in Oregon should resemble that in other states.

Proponents of the bill note that for many people DUII is a one-time offense. “My experience says that the vast majority of the individuals are in the system once and only once,” the paper quotes Senate Judiciary Committee Chairman Floyd Prozanski saying. The counter-argument, spearheaded by Mothers Against Drunk Driving (MADD) is that “many offenders repeatedly drive drunk before they’re caught for the first time” the newspaper reports. It cites MADD’s legislative director, Frank Harris, accusing the legislature of “playing some risky business with public safety.”

February 22, 2014

Oregon Class Action Legislation Seeks to Close Gaping Loophole

by Matthew D. Kaplan

An effort in Salem to close a striking loophole in Oregon’s laws regulating class action lawsuits is attracting attention across the country as legislators seek both to bring Oregon into accord with practice in most of the rest of the United States and to help poor Oregonians overcome the challenges they face when protecting their rights through our legal system.

For many people the words “class action” conjure images of high profile national cases involving prescription drugs or unsafe cars, or of working conditions most of us can barely imagine (e.g. coal miners in West Virginia). A recent case here in Oregon, however, illustrates just how high the stakes can be in seemingly simple cases. As Portland TV station KOIN notes in a web report, a Multnomah County jury ruled earlier this month “that BP was wrong to charge 35 cents extra for people using their debit cards at Arco gas stations in Oregon.” That may not seem like a lot of money but, according to the station, the overcharging effected “nearly 3 million people” just in the two and a half years between January 2011 and August 2013 (the period covered by the suit). The verdict amounts to an estimated $200 per customer – $600 million in all.

Unless they have kept very good banking records, however, many Oregonians won’t see any of that money. Arco’s parent company, BP, says it has not retained the relevant records. Drivers who can document the number of times they used debit cards at Oregon Arco stations may be able to get some money back – but the vast majority of the “class” covered by the settlement is unlikely ever to see anything. This is where politics comes into play: the question of what happens to any unclaimed damages. Oregon is one of only two states where a company in BP’s position can put the unclaimed money back into its corporate pocket (the other state is New Hampshire).

February 19, 2014

NYC Mayor Vows to Eliminate Pedestrian Traffic Deaths

by Matthew D. Kaplan

New York City’s new mayor, Bill de Blasio, unveiled a plan yesterday designed to eliminate pedestrian traffic deaths in America’s largest city. His proposals are worth looking at here in Oregon because they may contain lessons we can learn from here in Portland.

According to the New York Times, the focus of the initiative is stepped-up enforcement of existing laws combined with a proposal to lower the city’s speed limit from 30 to 25 miles per hour. “Our lives are literally in each other’s hands. Our children’s lives are in each other’s hands,” the mayor told a news conference Tuesday.

The strategy is called “Vision Zero” and is “adopted from a Swedish traffic safety approach that views all traffic deaths as inherently preventable,” according to the Times. De Blasio advocated these measures during his campaign last year, but they took on special urgency when New York “experienced a spate of traffic deaths, including three pedestrian deaths last month in fewer than 10 days” in the first weeks after the new mayor took office.

February 14, 2014

Marijuana Legalization Raises New DUII Issues

by Matthew D. Kaplan

Two former Portland-area prosecutors made headlines in The Oregonian this week with their advocacy of marijuana legalization. According to the newspaper Norm Frink and Mark McDonnell both believe that legalization is inevitable and, as a result, are trying to focus public attention on getting the details right.

“This is just a political fact in Oregon, even if some people don’t want to admit it,” the newspaper quoted Frink saying. “As a result,” the paper went on to note, “Frink and McDonnell, who headed the district attorney’s drug unit before retiring, on Tuesday announced that they wanted legislators to refer a marijuana legalization measure to voters in November.” The key to their idea is combining a voter referendum with legislative action. Oregonians would be asked to approve marijuana for personal use, but would charge the legislature with working out the details before the new law went into effect. “The two want to put off allowing legal possession of marijuana until after the legislature figures out how to set up a regulatory system,” The Oregonian reports.

The experience of Washington and Colorado would appear to validate this idea. When the two states became the first to make the possession and use of marijuana legal for personal recreational use the result was an immediate legal conundrum. At the most basic level, legalization puts state law in conflict with the federal government, but there are a number of equally serious – and in some ways more immediate – issues. Take drunk driving, for example. It ought to be relatively easy to agree that impaired driving brought on by pot use is just as dangerous as driving while drunk. Any state legalizing marijuana, however, will need to figure out ways to measure and assess the drug as part of a drunk driving arrest: what level of marijuana impairment crosses a safety line? What is the best and most efficiently to measure it? How should the use of marijuana and alcohol together be treated (presumably the two in combination could cross an impairment threshold at a point when neither, by itself, does so)?

February 9, 2014

Let’s Be Careful Out There

by Matthew D. Kaplan

With an ice storm warning now extending throughout the day Sunday and road closures throughout the Pacific Northwest this is a weekend to avoid any travel that is not absolutely necessary.

That is not just my opinion, it is the official word from public safety officials throughout the state. As The Oregonian has been reporting – and regularly updating on its home page – the severe weather gripping much of Oregon and Washington State poses a real threat to anyone out on the roads.

These warnings do not only apply to well-known danger zones, like the stretch of interstate in Eastern Oregon known as Cabbage Hill. According to the newspaper, local leaders in both Portland and Beaverton are urging everyone to “just stay home.” Portions of I-5 were closed at this writing. Roads and sidewalks are icy, Portland’s streetcars are not running and Tri-Met is “no longer reliable” according to city transportation officials quoted by the newspaper.

January 31, 2014

Have a Safe Super Bowl Weekend

by Matthew D. Kaplan

With Seattle in the Super Bowl this weekend excitement surrounding the Big Game is even higher than usual here in the Pacific Northwest. Unfortunately, increased excitement can often lead to overindulgence, and local and federal officials alike warn that Super Bowl weekend can be a dangerous time to be on the road.

According to a news release issued earlier today by the National Highway Traffic Safety Administration “on Super Bowl Sunday 2012 alone, 38 percent of fatalities from motor vehicle crashes have been connected to drunk driving, compared to 30 percent on an average weekend.” The NHTSA has partnered with the NFL and the Techniques for Effective Alcohol Management (TEAM) Coalition to urge fans to be careful and drink responsibly wherever they choose to watch this Sunday’s game.

If self-control is not sufficient to prevent Oregon drunk driving, everyone should also be aware that police will be out in force across Portland this weekend. “The Portland Police Bureau and the Oregon State Police are teaming up on Sunday in a crackdown on drunken drivers. Their message: ‘Think before you drink.’ If you do, arrange for safe transportation to Super Bowl activities,” according to a report in The Oregonian.

January 29, 2014

State Report Turns Spotlight on TriMet Safety Issues

by Matthew D. Kaplan

A leaked state audit of Tri-Met, details of which appeared in The Oregonian this morning, speaks of morale problems among “front-line” workers (such as bus drivers) and portrays an agency where “safety first” is often little more than a slogan.

The newspaper’s summary of the 54-page report is startling: “TriMet needs to fix a culture where low morale, secrecy, safety problems and more than $1 billion in unfunded financial obligations threaten to wreck the public transit agency,” the Oregonian says, summarizing the report’s key findings. The leaked report is a draft, not a final, official document but that fact does little to ease the sense that state auditors uncovered serious problems as they examined TriMet. The report was compiled by the Oregon Secretary of State’s office.

Perhaps even more surprising is the fact that TriMet does not appear to be disputing the picture the report paints. The newspaper reports that TriMet officials “took the Secretary of State’s criticisms in stride… in a 10-page response, TriMet General Manager Neil McFarlane didn’t disagree with the findings. Rather, he seemed to ask how high he should jump to implement the audit’s suggested improvements.”